to survive we need to maintain normal volume and composition of | extracellular fulid(ECF), intracellular fluid (ICF) |
fluid balance | amout of water gained each day equals the amount lost |
electrolyte balance | ion gain each day equals the ion loss |
acid base balance | H+ gain is offset by their loss |
H20 is how many percent of total body weight | 60% |
fractions of H2O in ICF and ECF | 2/3 in ICF, 1/3 in ECF |
largest subdivisions of ECF are | interstitial fluid of peripheral tissue, plasma of circulating blood |
intracellular (ICF) | cytosol of cells |
extracellular(ECF) components | plasma, interstitial fluid, lymph, CSF, other:synovial, endolymph, perilymph |
principal ions in ECF | sodium, chloride, bicarbonate(HO3) |
ICF contains abundance of | potassium(the main cation), negatively charged proteins |
to maintain homeostasis the body needs to | respond to changes in the ECF, NOT the ICF |
our cells dont | move water molecules by molecules by active transport |
water moves....in response to..... | passively, osmotic gradients |
the bodys content of water or electrolytes will rise if.....and will fall if.... | dietary gains exceed losses(overhydration), losses exceed gains(dehydration) |
the main hormone for water regulation is | antidiuretic hormone (ADH) |
increased release of ADH has two important effects | stimulates water conservation at the kidneys, reducing urinary water losses and concentrating the urine
stimulates thirst center,promoting intake of fluids |
which part of the kidney responds to ADH | DCT, collecting ducts |
ADH response is | increases thirst, increase water reabsorption in DCT and collecting ducts |
in aldosterone, the higher the plama concentration of alderstone | the more effeciently the kidneys conserve Na+(reabsorb sodium and secrete potassium) |
aldosterone is secreted in response to | rising K+ (hyperkalemia), falling Na+ levels (hyponatremia),activation of the renin-angiotensin system |
aldosterone acts on | DCT and collecting ducts |
whereever ..... goes....follows | sodium, water |
the hormone atrial natriuretic peptides(ANP) is caused by | elevated blood pressure or increased blood volume |
hormone atrial natriuretic peptides(ANP) reduces | thirst and BLOCKS the release of ADH and aldosterone |
all the effects of ANP result in | diuresis,loose fluids in kidneys |
edema | the movement of abnormal amounts of water from plasma into interstitial fluid |
hyponatremia is a sign of | overhydration or water excess |
if ECF is hypertonic | water moves from ICF-ECF |
if ECF is hypotonic | water moves ECF-ICF |
effects of loss of body water | severe thirst, dryness and wrinkling of skin, fall in plasma volume and blood pressure |
until ICF and ECF are isotonic again | osmosis will move water out of the ICF and into ECF |
sodium losses occur through | urine and perspiration |
when sodium is too low | ADH and aldosternone is secreted |
when sodium is too high | ANP is secreted |
the rate of tubular secretion of potassium varies in response to what factor | aldosterone lovels |
increase aldosterone will | increase sodium absorption and potassium secretion |
hyperkalemia causes | cardiac arrhythmias |
hypokalemia causes | muscular weakness and paralysis |
calcium homeostasis reflects on | reserves in bones, rate of absorption in digestive tract, rate of loss at kidneys |
parathyroid and calcitriol | RAISE concentrations; actions are opposed by calcitonin |
hypocalcemia | osteoporosis,muscle cramps, muscle spasms, convulsions |
if plasma is below 7.35 | acidemia, results in acidosis |
if plasma is above 7.45 | alkalemia, results in alkalosis |
acidosis can result in | a coma, cardiac failure, and circulatory collapse |
volatile acid | can leave solution and enter atmosphere |
fixed acids | most acids, produced by the body |
organic acid | participants i n or by-products of aerobic metabolism |
buffers | can provide(increases pH) or remove(decreases pH) H+ |
amino acid/protein buffer system | depend on ability of amino acids to respond to changes in pH by accepting of releasing H+ |
in hemoglobin buffer system it | absorb carbon dioxide from plasma, converts into carbonic acid |
in hemoglobin buffer system it | bicarbonate ion moves into plasma |
high levels of CO2 result in | low pH |
low levels of CO2 result in | high pH |
CO2 is or isnt an acid | is not |
CO2 can be converted to | carbonic acid |
carbonic acid bicarbonate buffer system role | is to prevent changes in pH caused by organic acids and fixed acids in ECF |
carbonic acid bicarbonate buffer system limitations | only functions when respiratory and control centers work normal
limited by availability of bicarbonate ions |
during acidosis | bicarbonate ions are released from storage |
pulmonary compensation in acidosis | increased respiratory rate gets rid of excess C02 produced |
renal compensation in acidosis | kidneys secrete and excrete excess hydrogen ions |
protein buffers in acidosis | pick up excess H+ |
pulmonary compensation in alkalosis | lower respiratory rate increases carbon dioxide levels |
kidney compensation in alkalosis | kidneys secreate and excrete bicarbonate ions |
protein buffers in alkalosis | release hydrogen ions |
PCO2 rises | pH fall |
PCO2 falls | pH rises |
stimulation of chemoreceptors leads to | an INCREASE in RESPIRATORY RATE |
chemoreceptors are stimulate if | high CO2 present or acidosis |
renal contribution in pH is limited to | secretion of H+
activity of buffers
removal of CO2
reabsorption NA+ and HCO3 |
when alkalosis or high pH develops | H+ secretion at kidneys decline
tuble cells dont reclaim bicarbonates
collectiond system transports HCO3 into tubular fluid releasing acid ino peritublar fluid |
metabolic acidosis | production of large number of fixed or organic acids |
hydrogen ions are liberated by what type of acids | fixed and organic |
example of impaired ability to excrete at kidneys | glomerulonephritis |
severe bicarbonate loss | chronic diarrhea |
lactic acidosis | strenuous excercise |
ketoacidosis | large quantities of ketone bodies, diabetes mellitus |
metabolic alkalosis occurs when | HCO3 concentrations become elevated |
metabolic alkalosis symtoms when | a person w/ prolong vomiting |
what can cause metabolic alkalosis | increase amounts of anti acids |
compensations for metabolic alkalosis involves | reduction in breathing rate ,increased loss of HCO3 in urine |